Thyroid & Adrenal
Prognosis in head injury is best given by:
|A||Glasgow coma scale|
|C||Age of patient|
|D||Mode of injury|
Glasgow coma scale is the means to get a rough idea about outcome in a case of severe head injury.
Glasgow coma scale consists of:
a. Eye opening
b. Best motor response
c. Best verbal response
i. 85% of patients with aggregate score of 3 or 4 die within 24 hrs.
ii. Older age, increased ICT, hypoxia, hypotension and CT scan evidence of compression of cistern surrounding the brainstem and shift of midline structure are all poor prognostic signs.
iii. Carrier status for the apolipoprotein E4 allele.
iv. Duration of post traumatic amnesia is the most important indicator for functional recovery.